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General NPI Number Information
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NPI Number | 1376801100
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Entity Type | Individual
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Provider Name | GERALDINE JADE LIAO MD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 786-596-1960
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Fax |
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Provider Business Mailing Address
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Address Line | 1144 EASTLAKE AVE E # LG-200
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City | SEATTLE
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State | WA
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Zip | 98109-4450
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Country | US
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Telephone | 206-606-6241
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 312553
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD60739992
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME152767
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD17921
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD452262
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License Number State | PA
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